Several factors play into my decision to offer non-mesh repair and its suitability for the patient. For example, smaller hernias in patients with low risk for recurrence are best suited for suture repair. Their age is often not a primary factor. That said, if they are frail or have a direct hernia, the chances are that they are more likely than average to fail a tissue repair. Also, how long one has had their hernia is not a factor.
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